Individual provider · Type 1 NPI

Roosevelt Stacy, LCSW-S, LMFT-S

Clinical Social Worker · Rosenberg, TX

NPI number 1093820490 Active

Practice location

1002 E Stadium Dr
Rosenberg, TX 77471-2579

Fax (281) 762-8355

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X4979 (TX)
Clinical Social Worker Primary 1041C0700X50557 (TX)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1093820490

Roosevelt Stacy, LCSW-S, LMFT-S's National Provider Identifier is 1093820490, issued on Aug 19, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rosenberg, TX. The record was last updated on Jul 21, 2022.